Recent Updates
Recently added Catalysts

Mirikizumab

Phase 3

Crohn's Disease | Small molecule | Gastrointestinal |Eli Lilly and Company|Last Updated: Jul 20, 2026

Success Probability
Subscribe to view
Market & Valuation
Subscribe to view
Trial Design
RandomizedDouble-BlindCONTROLLEDDMC
Total Trials5
Total Enrollment2,725
FDA Designations
No designations recorded
Clinical trial landscape

Mirikizumab · 15 trials · 6 indications

Phase 3 11Phase 2 4
NCT06937086Mirikizumab Administered at the Same Time as Tirzepatide in Adult Participants With Moderately to Severely Active Ulcerative Colitis and Obesity or Overweight: Phase 3b StudyUlcerative Colitis
RECRUITING350 Analytics
NCT06937099Mirikizumab and Tirzepatide Administered in Adult Participants With Moderately to Severely Active Crohn's Disease and Obesity or OverweightCrohn's Disease
RECRUITING290 Analytics
NCT05509777A Study of Mirikizumab (LY3074828) in Pediatric Participants With Crohn's DiseaseCrohn's Disease
RECRUITING90 Analytics
NCT05784246A Study of Mirikizumab (LY3074828) in Pediatric Participants With Moderately to Severely or Active Ulcerative ColitisUlcerative Colitis
COMPLETED63 Analytics
NCT05767021A Study of Mirikizumab (LY3074828) in Participants With Moderately to Severely Active Ulcerative ColitisUlcerative Colitis
COMPLETED172 Analytics
NCT04844606A Master Protocol (AMAZ): A Study of Mirikizumab (LY3074828) in Pediatric Participants With Ulcerative Colitis or Crohn's Disease (SHINE-ON)Ulcerative Colitis
RECRUITING150 Analytics
NCT04232553A Long-term Extension Study of Mirikizumab (LY3074828) in Participants With Crohn's DiseaseCrohn's Disease
ACTIVE NOT_RECRUITING996 Analytics
NCT03926130A Study of Mirikizumab (LY3074828) in Participants With Crohn's DiseaseCrohn's Disease
COMPLETED1,158 Analytics
NCT03524092A Maintenance Study of Mirikizumab in Participants With Moderately to Severely Active Ulcerative ColitisUlcerative Colitis
COMPLETED1,328 Analytics
NCT03519945A Study to Evaluate the Long-Term Efficacy and Safety of Mirikizumab in Participants With Moderately to Severely Active Ulcerative Colitis (LUCENT 3)Ulcerative Colitis
ACTIVE NOT_RECRUITING1,058 Analytics
PHASE3RECRUITING
Mirikizumab Administered at the Same Time as Tirzepatide in Adult Participants With Moderately to Severely Active Ulcerative Colitis and Obesity or Overweight: Phase 3b Study
Ulcerative ColitisUnlock trial analytics
PHASE3RECRUITING
Mirikizumab and Tirzepatide Administered in Adult Participants With Moderately to Severely Active Crohn's Disease and Obesity or Overweight
Crohn's DiseaseUnlock trial analytics
PHASE3RECRUITING
A Study of Mirikizumab (LY3074828) in Pediatric Participants With Crohn's Disease
Crohn's DiseaseUnlock trial analytics
PHASE3COMPLETED
A Study of Mirikizumab (LY3074828) in Pediatric Participants With Moderately to Severely or Active Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics
PHASE3COMPLETED
A Study of Mirikizumab (LY3074828) in Participants With Moderately to Severely Active Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics
PHASE3RECRUITING
A Master Protocol (AMAZ): A Study of Mirikizumab (LY3074828) in Pediatric Participants With Ulcerative Colitis or Crohn's Disease (SHINE-ON)
Ulcerative ColitisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Long-term Extension Study of Mirikizumab (LY3074828) in Participants With Crohn's Disease
Crohn's DiseaseUnlock trial analytics
PHASE3COMPLETED
A Study of Mirikizumab (LY3074828) in Participants With Crohn's Disease
Crohn's DiseaseUnlock trial analytics
PHASE3COMPLETED
A Maintenance Study of Mirikizumab in Participants With Moderately to Severely Active Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate the Long-Term Efficacy and Safety of Mirikizumab in Participants With Moderately to Severely Active Ulcerative Colitis (LUCENT 3)
Ulcerative ColitisUnlock trial analytics
Study Endpoints
Primary Endpoints
Percentage of Participants Who Simultaneously Achieve Clinical Remission and at Least 10% Weight Reduction
Week 52

Percentage of participants who simultaneously achieve clinical remission and at least 10% weight reduction.

Percentage of Participants Who Simultaneously Achieve Clinical Remission by Crohn's Disease Activity Index (CDAI), Endoscopic Remission, and at least 10% Weight Reduction
Week 52

Percentage of participants who simultaneously achieve clinical remission by CDAI, endoscopic remission and at least 10% weight reduction.

Percentage of Participants with Clinical Response by Pediatric Crohn's Disease Activity Index (PCDAI) at Week 12 and Endoscopic Response by Simple Endoscopic Score for CD (SES-CD) at Week 52
Baseline to Week 52

Clinical response based on PCDAI, and endoscopic response based on SES-CD.

Percentage of Participants with a Clinical Response by PCDAI at Week 12 and Clinical Remission by PCDAI at Week 52
Baseline to Week 52

Clinical response based on PCDAI, and clinical remission based on PCDAI.

Percentage of Participants with modified Mayo score (MMS) Clinical Remission at Week 52 among the Week 12 Clinical Responders
Baseline to Week 52
Change From Baseline in Bowel Urgency Severity Urgency Numeric Rating Scale (UNRS)
Baseline, Week 12

The UNRS is a single participant reported item that measures the severity for the urgency (sudden or immediate need) to have a bowel movement in the past 24 hours using an 11-point NRS ranging from 0 (no urgency) to 10 (worst possible urgency). Higher scores indicate more severe urgency. Baseline Observation Carried Forward (BOCF) endpoint was defined as the baseline value for participants discontinued during acute phase and defined as the last non-missing observation in the treatment phase for all other randomized participants.

Percentage of Participants with UC in Modified Mayo Score (MMS) Clinical Remission
Week 52

Clinical Remission based on the MMS

Percentage of Participants with CD in Pediatric Crohn's Disease Activity Index (PCDAI) Clinical Remission
Week 52

Clinical Remission based on the PCDAI

Percentage of Participants Achieving Endoscopic Response at Week 52 (Participants Originating From AMAM Study)
Week 52

Endoscopic Response defined as ≥50% reduction from AMAM study baseline in Simple Endoscopic Score for Crohn's Disease (SES-CD) total score. The SES-CD evaluates 4 endoscopic variables (presence/size of ulcers, extent of ulcerated surface, extent of affected surface, and presence/severity of stenosis) across 5 ileocolonic bowel segments (ileum, right colon, transverse colon, left colon, and rectum), with each of the 4 variables scored from 0 (best) to 3 (worst) per segment, resulting in 20 individual assessments. Total SES-CD score is the sum of all 20 individual assessment scores across all the bowel segments. Scores range from 0 to 56, with higher scores indicating more severe disease.

Percentage of Participants Achieving Clinical Remission at Week 52 (Participants Originating From AMAM Study)
Week 52

Clinical remission was defined as a Crohn's Disease Activity Index (CDAI) total score \< (less than) 150. The CDAI measures the severity of active disease using 8 disease variables: stool frequency, severity of abdominal pain, degree of general well-being, presence or absence of extra-intestinal manifestations, presence or absence of fistula, use or non-use of antidiarrheal agents, presence or absence of an abdominal mass, hematocrit, and body weight. Each variable is assigned a specific weight/multiplier, and the weighted values are summed to produce a CDAI total score. CDAI total scores can range from 0 to 600, with higher scores indicating more severe disease.

Percentage of Adult Participants Achieving Clinical Response at Week 12 and Endoscopic Response at Week 52 (Placebo and Mirikizumab)
Week 12 to Week 52

Clinical response by patient reported outcome (PRO) defined as ≥30% decrease in stool frequency (SF) and/or abdominal pain (AP) \& neither score worse than baseline. SF (number of liquid or very soft stools) as per Bristol Stool Scale Category 6 or 7 and AP (4-point scale: 0=none, 1=mild, 2=moderate, 3=severe). Endoscopic response defined as ≥50% reduction from baseline in total Simple Endoscopic Score for Crohn's Disease (SES-CD) score. SES-CD evaluates 4 variables assessed in 5 bowel segments, each scored from 0-3: presence \& size of ulcers (none=0; diameter 0.1-0.5 cm=1; 0.5-2 cm=2; \>2 cm=3); extent of ulcerated surface (none=0; \<10%=1; 10% to 30%=2; \>30%=3); extent of affected surface (none=0; \<50%=1; 50% to 75%=2; \>75%=3); presence \& type of narrowing (none=0; single, can be passed=1; multiple, can be passed=2; cannot be passed=3). Total is sum of all scores across all bowel segments. Scores range from 0 to 56, with higher scores indicating more severe disease.

Percentage of Adult Participants Achieving Clinical Response at Week 12 and Clinical Remission at Week 52 (Placebo and Mirikizumab)
Week 12 to Week 52

Clinical response by PRO defined as ≥ 30% decrease in SF and/or AP and neither score worse than baseline. SF (number of liquid or very soft stools) as per Bristol Stool Scale Category 6 or 7 and AP (4-point scale: 0=none, 1=mild, 2=moderate, 3=severe). Clinical remission defined as Crohn's Disease Activity Index (CDAI) total score \<150. The CDAI is an 8-item disease activity measure comprised of a composite of 3 patient-reported items: AP (4-point scale: 0=none, 1=mild, 2=moderate, 3=severe); SF (number of liquid or very soft stools) as per Bristol Stool Scale Category 6 or 7; and general well-being (0=generally well, 1=slightly under par, 2=poor, 3=very poor, 4=terrible), and 5 physician-reported/laboratory items (physical signs and a laboratory parameter \[hematocrit\]).. Total score range of 0 to 600 points.

Percentage of Participants in Clinical Remission at Week 40 (Mirikizumab Induction Responders)
Week 40

Clinical remission at week 40 is defined as achieving a 9-point modified Mayo score for rectal bleeding=0, stool frequency=0 or 1 with ≥ 1 point decrease from baseline, and endoscopy=0 or 1 (excluding friability). Stool Frequency Subscore, based on the participant's diary and scored from 0 (normal number of stools) to 3 (5 or more stools than normal); Rectal Bleeding Subscore, based on the participant's diary and scored from 0 (no blood) to 3 (blood only passed); Endoscopy Subscore, based on central reading of colonoscopy or sigmoidoscopy and scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration). Modified Intention-to-treat population (mITT): All randomized participants who received at least one dose of mirikizumab and who had a correctly measured Modified Mayo Score at baseline. Participants were analyzed according to the treatment arm to which they were randomized, regardless of the treatment actually received.

Percentage of Participants in Clinical Remission
Week 52

Clinical remission based on the modified Mayo Score (MMS).

Percentage of Participants With Clinical Remission at Week 12
Week 12

Clinical remission at week 12 is defined as achieving a modified Mayo score (MMS) subscore for rectal bleeding=0, stool frequency=0 or 1 with ≥ 1 point decrease from baseline, and endoscopy=0 or 1 (excluding friability), excluding consideration of Physician's Global Assessment (PGA). Stool frequency subscore, based on the participant's diary and scored from 0 (normal number of stools) to 3 (5 or more stools than normal); Rectal bleeding subscore, based on the participant's diary and scored from 0 (no blood seen) to 3 (blood alone passed); Endoscopy subscore, based on colonoscopy or sigmoidoscopy and scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration). The confidence interval of 99.88% was chosen to match the significance level.

Pharmacokinetics (PK): Clearance of Mirikizumab
Predose on week 4, 8, 12,16, 24, 36, 52 and post dose on week 0 and 8

Clearance of mirikizumab was evaluated. The PK of mirikizumab is characterized at interim analysis points using mixed-effect (population PK) modelling approaches using the available induction and maintenance mirikizumab concentration data.

Percentage of Participants Achieving Endoscopic Response at Week 12
Week 12

Endoscopic response defined as ≥ 50% reduction from baseline in Simple Endoscopic Score for Crohn's Disease (SES-CD) at Week 12. The SES-CD evaluates 4 endoscopic variables: presence and size of ulcers, proportion of surface covered by ulcers, proportion of surface affected by disease, and presence and severity of stenosis. The total SES-CD calculated as sum of 4 variables for 5 bowel segments: (ileum;right,transverse,and left colon;and rectum): presence and size of ulcers (none = score 0; diameter 0.1-0.5 cm = score 1; 0.5-2 cm = score 2; \>2 cm = score 3); extent of ulcerated surface (none = 0; \<10% = 1;10-30% = 2;\>30% = 3);extent of affected surface (none = 0; \<50% = 1;50-75% = 2;\>75% =3); and presence and type of narrowings (none=0; single, can be passed=1; multiple,can be passed=2; cannot be passed=3). Total SES-CD scores range from 0 to 56, with higher scores indicating more severe disease.

Percentage of Participants With a ≥90% Improvement in Psoriasis Area and Severity Index (PASI 90)
Week 16

PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs) and the severity of scaling, redness, and plaque induration/infiltration (thickness) in each region, yielding an overall score of 0 for no psoriasis (PsO) to 72 for the most severe disease. For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (no involvement) to 4 (severe involvement). Each area is scored separately and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region \* area score \* weighing factor \[head (0.1), upper limbs (0.2), trunk (0.3), lower limbs (0.4)\]. Overall scores range from 0 (no PsO) to 72 (the most severe disease).

Induction Period: Percentage of Participants With Clinical Remission at Week 12
Week 12

Clinical remission at week 12 is a defined as achieving a 9-pt Mayo subscore for rectal bleeding=0, stool frequency=0 or 1 with ≥ 1 point decrease from baseline, and endoscopy=0 or 1, excluding Physician's Global Assessment (PGA). * Stool Frequency Subscore, based on the participant's diary and scored from 0 (normal number of stools) to 3 (5 or more stools than normal); * Rectal Bleeding Subscore, based on the participant's diary and scored from 0 (no blood) to 3 (blood only passed); * Endoscopy Subscore, based on colonoscopy or sigmoidoscopy and scored from 0 (normal or inactive disease) to 3 (severe disease, spontaneous bleeding, ulceration); * Physician's Global Assessment subscore, based on the physician's overall assessment, and scored from 0 (normal) to 3 (severe disease). The total score ranges from 0 to 9 points, with higher scores representing more severe disease.

Secondary Endpoints
Percentage of Participants Who Achieve Clinical Remission
Week 24 and Week 52
Percentage of Participants Who Achieve Endoscopic Response
Week 24 and Week 52
Percentage of Participants Who Achieve Histologic-Endoscopic Mucosal Improvement Plus Absence of Neutrophils
Week 24 and Week 52
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Mirikizumab + TirzepatideEXPERIMENTALMirikizumab administered intravenously (IV) then Mirikizumab administered subcutaneously (SC). Tirzepatide administered SC.
Mirikizumab + PlaceboEXPERIMENTALMirikizumab administered IV then Mirikizumab administered SC. Placebo administered SC.
Mirikizumab Dose 1EXPERIMENTALMirikizumab administered intravenously (IV) or subcutaneously (SC) in participants that weigh greater than (\>) 40 kilograms (kg).
Mirikizumab Dose 2EXPERIMENTALMirikizumab administered IV or SC in participants that weigh \>20 kg to less than or equal to (≤) 40 kg. Dosing is based on assessments of the participant's weight and appropriate weight class.
Mirikizumab Dose 3EXPERIMENTALMirikizumab administered IV or SC in participants that weigh greater than or equal to (≥) 9 kg to less than or equal to ≤20 kg. Dosing is based on assessments of the participant's weight and appropriate weight class.
Mirikizumab Weight-Based Group 1EXPERIMENTALExperimental: Participants will receive mirikizumab weight-based dosing intravenously (IV) or subcutaneously (SC).
Mirikizumab Weight-Based Group 2EXPERIMENTALExperimental: Participants will receive mirikizumab weight-based dosing IV or SC.
Mirikizumab Weight-Based Group 3EXPERIMENTALExperimental: Mirikizumab Participants will receive mirikizumab weight-based dosing IV or SC.
300 mg MirikizumabEXPERIMENTALParticipants received 300 milligram (mg) mirikizumab every 4 weeks (Q4W) at week 0, 4, and 8 administered intravenously (IV).
Mirikizumab Dose 1 for UCEXPERIMENTALDose 1 of Mirikizumab is administered subcutaneously (SC) Dosing is based on the participant's weight.
Mirikizumab Dose 2 for UCEXPERIMENTALDose 2 of Mirikizumab is administered SC Dosing is based on the participant's weight.
Mirikizumab Dose 3 for UCEXPERIMENTALDose 3 of Mirikizumab is administered SC Dosing is based on the participant's weight.
Mirikizumab Dose 4 for CDEXPERIMENTALDose 4 of Mirikizumab is administered SC Dosing is based on the participant's weight.
Mirikizumab Dose 5 for CDEXPERIMENTALDose 5 of Mirikizumab is administered SC Dosing is based on the participant's weight.
Mirikizumab Dose 6 for CDEXPERIMENTALDose 6 of Mirikizumab is administered SC Dosing is based on the participant's weight.
Mirikizumab Dose 7 for UC or CDEXPERIMENTALIntravenous (IV) rescue dosing, if response is lost.
AMAM Mirikizumab (Miri): Miri 300 mg SCEXPERIMENTALParticipants assigned to mirikizumab in Study AMAM who achieved Endoscopic Response at Week 52 of AMAM continued into Study AMAX and received mirikizumab 300 milligrams (mg) subcutaneously (SC) every 4 weeks (Q4W) for 52 weeks.
AMAM Miri: Miri 900 mg IV Then 300 mg SCEXPERIMENTALParticipants assigned to mirikizumab in Study AMAM who did not achieve Endoscopic Response at Week 52 of AMAM continued into Study AMAX and received mirikizumab 900 mg intravenously (IV) Q4W for 3 doses, followed by mirikizumab 300 mg SC Q4W for 52 weeks.
AMAM Placebo (PBO)/Miri: Miri 300 mg SCEXPERIMENTALParticipants assigned to placebo in Study AMAM who switched from placebo to mirikizumab at week 12 and achieved Endoscopic Response at Week 52 of AMAM continued into Study AMAX and received mirikizumab 300 mg SC Q4W for 52 weeks.
AMAM PBO/Miri: Miri 900 mg IV Then 300 mg SCEXPERIMENTALParticipants assigned to placebo in Study AMAM who switched from placebo to mirikizumab at week 12 and did not achieve Endoscopic Response at Week 52 of AMAM continued into Study AMAX and received mirikizumab 900 mg IV Q4W for 3 doses, followed by mirikizumab 300 mg SC Q4W for 52 weeks.
AMAM Ustekinumab (Uste): Miri 300 mg SCEXPERIMENTALParticipants assigned to ustekinumab in Study AMAM who achieved Endoscopic Response at Week 52 of AMAM continued into Study AMAX and received mirikizumab 300 mg SC Q4W for 52 weeks.
AMAM Uste: Miri 900 mg IV Then 300 mg SCEXPERIMENTALParticipants assigned to ustekinumab in Study AMAM who did not achieve Endoscopic Response at Week 52 of AMAM continued into Study AMAX and received mirikizumab 900 mg IV Q4W for 3 doses, followed by mirikizumab 300 mg SC Q4W for 52 weeks.
AMAM PBO: Miri 300 mg SCEXPERIMENTALParticipants assigned to placebo in Study AMAM who achieved Endoscopic Response at Week 52 of AMAM continued into Study AMAX and received mirikizumab 300 mg SC Q4W for 52 weeks.
AMAM PBO: Miri 900 mg IV Then 300 mg SCEXPERIMENTALParticipants assigned to placebo in Study AMAM who did not achieve Endoscopic Response at Week 52 of AMAM continued into Study AMAX and received mirikizumab 900 mg IV Q4W for 3 doses, followed by mirikizumab 300 mg SC Q4W for 52 weeks.
All AMAG Participants: Miri 300 mg SCEXPERIMENTALParticipants from Study AMAG who continued into Study AMAX received mirikizumab 300 mg SC Q4W for 52 weeks.
PlaceboPLACEBO_COMPARATORParticipants received Placebo intravenously (IV) or subcutaneously (SC) every 4 weeks (Q4W). Any participant in the placebo arm who was considered a non-responder at Week 12 received 900 mg Mirikizumab IV Q4W for 3 doses, then 300 mg SC Q4W for the remainder of the study. Nonresponse is defined as failing to achieve at least a 30% decrease in stool frequency (SF) and/or abdominal pain (AP) and be no worse than baseline.
90 mg UstekinumabACTIVE_COMPARATORParticipants received 6 mg/kg Ustekinumab IV for one dose, then 90 mg SC every 8 weeks (Q8W)
300 mg Mirikizumab (Adolescents)EXPERIMENTALParticipants received open label 900 mg Mirikizumab IV for 3 doses, then 300 mg SC Q4W
Maintenance Period: Miri Induction Responder (IR) - Placebo (PBO) Subcutaneous (SC)PLACEBO_COMPARATORParticipants who were responders to blinded mirikizumab (miri) at Week 12 in induction study (LUCENT-1) randomized to withdraw from mirikizumab and start receiving PBO SC every 4 weeks (Q4W) from Week 0 of maintenance study (LUCENT-2) until Week 40 or until loss of response was confirmed.
Maintenance Period: Miri IR - 200 Milligram (mg) Miri SCEXPERIMENTALParticipants who were responders to blinded mirikizumab at Week 12 in induction study (LUCENT-1) randomized to continue to receive 200 mg mirikizumab SC Q4W from Week 0 of LUCENT-2 until Week 40 or until loss of response was confirmed.
Maintenance Period: PBO IR - PBO SCEXPERIMENTALParticipants who were responders to blinded placebo at Week 12 in induction study (LUCENT-1) continue to receive blinded placebo SC Q4W from Week 0 of LUCENT-2 until Week 40 or until loss of response was confirmed.
Maintenance Period: Miri IR - PBO SC - ME2 CohortEXPERIMENTALParticipants in the ME2 Cohort who were responders to blinded mirikizumab (miri) at Week 12 in induction study (LUCENT-1) randomized to withdraw from mirikizumab and start receiving PBO SC every 4 weeks (Q4W) from Week 0 of maintenance study (LUCENT-2) until Week 40 or until loss of response was confirmed.
Maintenance Period: Miri IR - 200 mg Miri SC - ME2 CohortEXPERIMENTALParticipants in the ME2 Cohort who were responders to blinded mirikizumab at Week 12 in induction study (LUCENT-1) randomized to continue to receive 200 mg mirikizumab SC Q4W from Week 0 of LUCENT-2 until Week 40 or until loss of response was confirmed.
Maintenance Period: PBO IR - PBO SC - ME2 CohortEXPERIMENTALParticipants in the ME2 Cohort who were responders to blinded placebo at Week 12 in induction study (LUCENT-1) continue to receive blinded placebo SC Q4W from Week 0 of LUCENT-2 until Week 40 or until loss of response was confirmed.
Loss of Response (LOR) Rescue Period: LOR Cohort-300 mg Miri IVEXPERIMENTALParticipants who received blinded PBO SC or blinded 200 mg mirikizumab SC Q4W during maintenance period and experienced a loss of response at or after Week 12, received rescue therapy with open label 300 mg mirikizumab intravenous (IV) Q4W for 3 doses.
LOR Rescue Period: LOR Cohort-300 mg Miri IV - ME2 CohortEXPERIMENTALParticipants in the ME2 Cohort who received blinded PBO SC or blinded 200 mg mirikizumab SC Q4W during maintenance period and experienced a loss of response at or after Week 12, received rescue therapy with open label 300 mg mirikizumab intravenous (IV) Q4W for 3 doses.
Extended Induction: Induction Nonresponders - 300mg Miri IVEXPERIMENTALParticipants who were nonresponders to blinded mirikizumab or placebo in induction study (LUCENT-1), received additional 3 doses of open label 300 mg mirikizumab IV Q4W during extended induction period from Week 0 of LUCENT-2 until Week 12.
Extended Induction: Induction Nonresponders - 300mg Miri IV - ME2 CohortEXPERIMENTALParticipants in the ME2 Cohort who were nonresponders to blinded mirikizumab or placebo in induction study (LUCENT-1), received additional 3 doses of open label 300 mg mirikizumab IV Q4W during extended induction period from Week 0 of LUCENT-2 until Week 12.
Open Label Maintenance: Delayed Responders - 200 mg Miri SCEXPERIMENTALParticipants who initially did not respond to induction study (LUCENT-1), but responded to extended induction therapy at Week 12 of LUCENT-2 (delayed responders), received 200 mg mirikizumab SC Q4W during open label maintenance period from Week 12 until Week 40 or until early termination (rescue was not available for these participants).
Open Label Maintenance: Delayed Responders - 200 mg Miri SC - ME2 CohortEXPERIMENTALParticipants in the ME2 Cohort who initially did not respond to induction study (LUCENT-1), but responded to extended induction therapy at Week 12 of LUCENT-2 (delayed responders), received 200 mg mirikizumab SC Q4W during open label maintenance period from Week 12 until Week 40 or until early termination (rescue was not available for these participants).
MirikizumabEXPERIMENTALMirikizumab administered subcutaneously (SC).
Placebo Intravenous (IV) Every 4 Weeks (Q4W)PLACEBO_COMPARATORPlacebo given as an IV infusion Q4W on Weeks 0, 4, 8 for 12 weeks.
300 Milligram (mg) Mirikizumab IV Q4WEXPERIMENTAL300 mg mirikizumab given as an IV infusion Q4W on Weeks 0, 4, 8 for 12 weeks.
Placebo IV Q4W Maximum Extended Enrollment (ME2)PLACEBO_COMPARATORPlacebo given as an IV infusion Q4W on Weeks 0, 4, 8 for 12 weeks.
300 mg Mirikizumab IV Q4W ME2EXPERIMENTAL300 mg mirikizumab given as an IV infusion Q4W on Weeks 0, 4, 8 for 12 weeks.
Open Label (OL) Induction Period: 5 milligram per kilogram (mg/kg) Miri intravenous (IV)EXPERIMENTALParticipants (≤40 kg weight) received 5 mg/kg mirikizumab given as an IV infusion every 4 weeks (Q4W) on weeks 0, 4, 8 for 12 weeks.
Open Label Induction Period: 10 mg/kg Miri IVEXPERIMENTALParticipants (≤40 kg weight) received 10 mg/kg mirikizumab given as an IV infusion Q4W on weeks 0, 4, 8 for 12 weeks.
Open Label Induction Period: 300 mg Miri IVEXPERIMENTALParticipants (\>40 kg weight) received 300 mg mirikizumab given as an IV infusion Q4W on weeks 0, 4, 8 for 12 weeks.
Open Label Maintenance Period: 50 mg Miri subcutaneous (SC)EXPERIMENTALParticipants (≤20 kg weight) who were responders to mirikizumab at week 12 in induction received 50 mg subcutaneously (SC) Q4W from week 12 through week 48 or until loss of response was confirmed.
Open Label Maintenance Period: 100 mg Miri SCEXPERIMENTALParticipants (\>20 to ≤40 kg weight) who were responders to mirikizumab at week 12 in induction received 100 mg SC Q4W from week 12 through week 48 or until loss of response was confirmed.
Open Label Maintenance Period: 200 mg Miri SCEXPERIMENTALParticipants (\>40 kg weight) who were responders to mirikizumab at week 12 in induction received 200 mg SC Q4W from week 12 through week 48 or until loss of response was confirmed.
Open Label Maintenance Period: Non-Responders: 10 mg/kg Miri IV/ 50 mg Miri SCEXPERIMENTALParticipants (≤40 kg) who were non responders to miri at Week 12 in induction received 10 mg SC Q4W for 12 weeks or discontinued after repeat induction, and then received 50 mg miri (≤20 kg weight) SC Q4W through week 48 or until loss of response was confirmed.
Open Label Maintenance Period: Non-Responders: 10 mg/kg Miri IV/100 mg Miri SCEXPERIMENTALParticipants (≤40 kg) who were non responders to miri at week 12 in induction received 10 mg SC Q4W for 12 weeks or discontinued after repeat induction, and then received 100 mg miri (\>20 to ≤40 kg weight) SC Q4W through week 48 or until loss of response was confirmed.
Open Label Maintenance Period: Non-Responders: 300 mg Miri IV /200 mg Miri SCEXPERIMENTALParticipants (\>40 kg) who were non responders to miri at week 12 in induction received 300 mg SC Q4W for 12 weeks or discontinued after repeat induction, then received 200 mg miri SC Q4W through week 48 or until loss of response was confirmed.
30 mg MirikizumabEXPERIMENTAL30 mg Mirikizumab administered subcutaneously (SC) every 8 weeks (Q8W).
100 mg MirikizumabEXPERIMENTAL100 mg Mirikizumab administered SC Q8W.
50 mg Mirikizumab IV Q4W (Induction)EXPERIMENTAL50 mg mirikizumab administered every 4 weeks (Q4W) intravenously (IV) during the induction period. Participants who do not have a clinical response may choose to participate in the unblinded study extension period.
200 mg Mirikizumab IV Q4W (induction)EXPERIMENTAL200 mg mirikizumab administered every 4 weeks (Q4W) intravenously (IV) during the induction period. Participants who do not have a clinical response may choose to participate in the unblinded study extension period.
600 mg Mirikizumab IV Q4W (Induction)EXPERIMENTAL600 mg mirikizumab administered every 4 weeks (Q4W) intravenously (IV) during the induction period. Participants who do not have a clinical response may choose to participate in the unblinded study extension period.
Placebo IV Q4W (Induction)PLACEBO_COMPARATORPlacebo administered every 4 weeks (Q4W) intravenously (IV) during the induction period.
200 mg Mirikizumab SC Q4W (Maintenance)EXPERIMENTALInduction mirikizumab responders were re-randomized: 200 mg mirikizumab administered subcutaneously (SC) Q4W during the maintenance period.
200 mg Mirikizumab SC Q12W (Maintenance)EXPERIMENTALInduction mirikizumab responders were re-randomized: 200 mg mirikizumab administered subcutaneously (SC) once every 12 weeks (Q12W) during the maintenance period.
Placebo SC Q4W (Maintenance)PLACEBO_COMPARATORInduction placebo responders: Placebo administered subcutaneously (SC) Q4W during the maintenance period.
600mg Mirikizumab IV Q4W Extension Open-LabelEXPERIMENTALInduction non-responders: 600 mg mirikizumab administered intravenously (IV) once every 4 weeks (Q4W) during the Extension Open-Label.
1000mg Mirikizumab IV Q4W Extension Open-LabelEXPERIMENTALInduction non-responders: 1000 mg mirikizumab administered intravenously (IV) once every 4 weeks (Q4W) during the Extension Open-Label.
200mg Mirikizumab SC Q4W Extension Open-LabelEXPERIMENTALExtension Induction responders: 200 mg mirikizumab administered subcutaneously (SC) once every 4 weeks (Q4W) during the Extension Open-Label
Interventions
NameTypeDescription
MirikizumabDRUGAdministered IV
TirzepatideDRUGAdministered SC
PlaceboDRUGAdministered SC
Mirikizumab IVDRUGAdministered IV
Mirikizumab SCDRUGAdministered SC
UstekinumabDRUGAdministered IV
Placebo SCDRUGAdministered SC
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites189

Inclusion Criteria: * Have had an established diagnosis of UC for ≥3 months before baseline which includes endoscopic evidence of UC and a histopathology report that supports a diagnosis of UC. * Have moderately to severely active UC as defined by a modified Mayo score (mMS) of 5 to 9 points and en...

Countries:United StatesAustriaBelgiumBrazilBulgariaCanadaCzechiaDenmarkFranceGermanyGreeceHungaryIsraelItalyMexicoNetherlandsPolandPuerto RicoRomaniaSlovakiaSpainTurkey (Türkiye)United KingdomJapanNorwayPortugalSouth KoreaArgentinaAustraliaChinaCroatiaIndiaLatviaLithuaniaRussiaSerbiaSwitzerlandUkraineIrelandMalaysiaTaiwanGeorgiaMoldova
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWJul 20, 2026NCT06937086lastUpdatePostDate: changed
LOWJul 20, 2026NCT06937086lastUpdatePostDate: changed
MEDIUMJul 11, 2026NCT05767021TRIAL_REMOVED: changed
MEDIUMJul 11, 2026NCT05767021TRIAL_REMOVED: changed
MEDIUMJul 11, 2026NCT05767021TRIAL_REMOVED: changed
LOWJul 7, 2026NCT06937099lastUpdatePostDate: changed
LOWJul 7, 2026NCT06937086lastUpdatePostDate: changed
LOWJul 7, 2026NCT06937099lastUpdatePostDate: changed
LOWJul 7, 2026NCT06937086lastUpdatePostDate: changed
MEDIUMJul 4, 2026NCT05784246TRIAL_REMOVED: changed
MEDIUMJul 4, 2026NCT05784246TRIAL_REMOVED: changed
MEDIUMJul 4, 2026NCT05784246TRIAL_REMOVED: changed
LOWJun 23, 2026NCT04844606lastUpdatePostDate: changed
LOWJun 23, 2026NCT06937099lastUpdatePostDate: changed
LOWJun 23, 2026NCT06937086lastUpdatePostDate: changed
LOWJun 23, 2026NCT04844606lastUpdatePostDate: changed
LOWJun 23, 2026NCT06937099lastUpdatePostDate: changed
LOWJun 23, 2026NCT06937086lastUpdatePostDate: changed
MEDIUMJun 13, 2026NCT03524092TRIAL_REMOVED: changed
MEDIUMJun 13, 2026NCT03524092TRIAL_REMOVED: changed